Philosophy Of Occupational Therapy

As occupational therapy services diversified, serving a variety of clients in many different settings and with societal influences, the field began to evolve. During the 1990s occupational therapists began to shift away from reductionist medical model toward a more holistic client-centered approach. Services focused on enhancing individuals’ quality of life across the lifespan meaning before, during, and after therapeutic intervention. The profession began to better acknowledge the value of client education, injury and illness prevention, health screening, and health maintenance (Cole & Tufano, 2008). The field created more preventative initiatives, and focused services on improving quality of life and optimizing the independence of

Most of my professional life to date has focused on working with people with disabilities and in helping them identify and achieve their goals. As an occupational therapist, I had coursework in psychology, but no formal training in counseling. My ability to help my patients reach their highest potential really depended on my professional relationship, or what as therapists we referred to as “therapeutic use of self”. I certainly learned and used specific techniques and assessments over the years to help me achieve better outcomes, but never identified with any specific theory as the framework of my interactions. I recognize there were times when my personality and my skills were a great match and other times when I felt like I just couldn’t figure out the right approach. Thankfully for much of my career, I worked with an interdisciplinary team that included some very skilled psychologists, so I always had the ability to consult.

Growing up, I have been an individual who has pushed myself beyond the minimum requirements in order to succeed. In high school I excelled in both academics and athletics. I graduated in the top 10% of my class and lettered in hockey and tennis my sophomore, junior, and senior year. I worked hard and put in extra time in order to set myself apart from others. Succeeding in both school and athletics made me a responsible, reliable, and an organized individual. These experiences made me a versatile individual and have given me a work ethic that has benefited me with my academics in college and with my work and volunteer experiences.

Since these things are achieved through occupation, through doing things, the close link between health and occupation becomes clear (Wilcock, 2001).  From an occupational perspective, doing things provides a sense of purpose and fulfilment and leads to a sense of well-being (Crepeau et al, 2009).

Occupational therapy was founded on the principle that participation in meaningful activity is important to the health of individuals. Mental health is very important to the well-being of an individual and those around them. 450 million people experience mental and neurological disorders around the world. These disorders are the leading 5-10 causes of disability worldwide. As services for individuals with mental illness have shifted from the hospital to the community, there has also been a shift in the philosophy of service delivery. In the past, there was an adherence to the medical model; now the focus is on incorporating the recovery model. (2) Occupational therapy’s focus that taking part in engaging and meaningful activities benefits the mental well-being of the individual.

The concepts and principles in the Founding Vision of 1917 and the Centennial Vision of 2007 establish a connection between our past and present. Comparing the two Visions shows that many of our modern day values were first outlined by occupational therapy’s founders a century ago. The Founding Vision reads, “The particular objects for which the corporation is formed are as follows: The advancement of occupation as a therapeutic measure; for the study of the effect of occupation upon the human being; and for the scientific dispensation of this knowledge” (National Society for the Promotion of Occupational Therapy [NSPOT], 1917). Where the Centennial Vision reads, “We envision that occupational therapy is a powerful, widely recognized, science-driven,

Through the almost 100 years of occupational therapy as a profession, occupational therapy have gone from a profession focused only on the mentally ill patient to a profession that is targeting a broad range of population ranging from the special needs population, to veterans, and people with different diseases and physical disabilities or injuries. It is inspirational to know that this profession started based on the ideology that “even the most challenged are entitled to consideration and human compassion” (O'Brien, 2012). Likewise, it is fascinating that occupational therapy played such an important role in both of the world war as reconstruction aides focusing on rehabbing the soldiers and helping veterans recover during post-war period

Occupational Therapy is a vital segment of the health care field. Individuals in this profession make a difference in the lives of others by helping their patients function effectively despite their disability, illness, or injury. They help by teaching patients many activities of daily living tasks which can include, grooming, toileting, dressing, eating, mobility, and much more! Along with the daily living tasks, Occupational Therapy helps individuals to be productive and successful in ways they want to be, like going school, taking care of others, managing their homes, preparing meals. Most importantly, they help their patients adapt to their environments and increase their independent function by helping them perform tasks with as little help from others as possible. Without Occupational Therapy, some patients with temporary disabilities could have a permanent disability. If individuals receive the Occupational treatments, they can prevent the loss of function.

Occupational therapy is a profession that is currently growing faster than anyone would have expected. Because of the increase in demands for occupational therapy services, therapists are having larger caseloads, needing the help of more occupational therapists. Occupational therapy in the mental health setting is one environment that has grown in popularity over the last decade. Knowing the benefits of occupational therapy in this setting, and the expansion of clients needing occupational therapy services, more funding needs to be established in this setting.

Occupational Therapy is a health, wellness, and rehabilitation profession devoted to the development of performance and function across their lifetime so that individuals can live their life to the fullest. The holistic approach taken by occupational therapy practitioners is particularly effective in the areas of wellness, health promotion, and prevention. The practice of occupational therapy can take place in health care and education settings, and in community based agencies and organizations. The timing is excellent for occupational therapy in the area of wellness and prevention. Occupational Therapy practitioners administer habilitation and rehabilitation services, which are among the fundamentals health benefits of the

“Hello, Can I help You?” is a touching story. It did not only motivate me more to become an Occupational Therapist but it made me look forward to the future where I can help people feel better, happier, and more fulfilled of their lives. I have always been fascinated by the works of Occupational Therapists. Seeing them in the milieu where I work helps me stay on track and have more sense of direction in life. Meeting patients at work just like Jacqueline Goldberg opens multiple opportunities for me to learn and get a better and deeper understanding of people with disability. In Jacquline’s story, I learned that the Occupational Therapy treatment process is not just a typical in-and-out treatment routine. The story opened my eyes to a different level of patient-healthcare provider relationship and how that relationship can completely change someone’s

Occupation based interventions benefits the clients but there are various barriers that many occupational therapists face when working in medically-oriented facilities. According to Colaianni and Provident (2010), one of the barriers of (OBI) is the dominance of the biomedical model in health care practice. The mechanistic paradigm that was derived from biomedical model has diverted the professional role of concentrating on health restoring measure to remediation of body functions and impairments. According to Gray (1998), biomedical model cure disease by eliminating symptoms, reducing impairment but occupational therapy results in impairment-based treatment where the impairment and body functions become the intervention outcome. It is difficult within the medical paradigm of care to incorporate health and wellness and to fit occupations such as cooking, playing, and other pleasurable activities, which resulted in the occupational therapist struggling with professional identity.

For my career exploration assignment I have chosen the field of occupational therapy. Not only am I a certified occupational therapists assistant, but I also have a passion for this field. Occupational therapy wasn’t something that I have always wanted to pursue, but once I got into college and observed an occupational therapist I fell in love with the occupation. Occupational therapy is the unique focus on occupation and daily life activities and the application of an intervention process that facilitates engagement in occupation to support participation in everyday life (American Occupational Therapy Association [AOTA], 1994). As therapists we are here to help our patients return to the highest level of independent physical function. Patients come to us in their lowest time, and it is our job to help build them up, and teach them how to be more independent, and to live their life to the fullest. Occupational therapists assistants do everything from increasing a patient’s standing/sitting tolerance and balance, safety with transfer training, dressing, bathing, grooming, and bed mobility. A lot of people always ask, “Physical therapy and occupational therapy are the same thing right?” That is not true. Physical therapy helps with the bigger movements, such as walking and lower extremity muscles, where as occupational therapy focuses on smaller, more fine motor movements, such as clothing manipulation, and grooming tasks. Occupational therapy helps to regain independence

Occupational therapy has been in the process of continued development since the 1900’s. With several contributors helping to build the groundwork for creating the awareness needed to bring occupational therapy into the field of health care. Continued research is contributing to the ongoing significance of how occupational therapy is a vital aspect in promoting increased independences in all aspects of healthcare. (Willard, Schell, 2014) With the incorporation of “Occupational Therapy Practice Framework Domain and Process (3rd ed.)” helps creates the foundation for occupational therapy clinicians as well as other health care providers in facilitating the core believe of occupational and the relationship of health and occupation. (AOTA 2014) Therefore, providing a uniform outline of the various aspects of each individual and how they are interconnected to create the foundation of each individual. With a greater understanding of the foundations of that induvial, the clinician can then facilitate the best therapeutic treatment plan for that individual to achieve their personal goals with unified foundations of care.

Due to the addition of engagement this promotes the understanding that the client can find satisfaction in engaging with occupations without performing them. It falls within the Person-Environment-Occupation Framework this is due to the focus on the influences and connections of the person and environment on meaningful occupations. The CMOP-E places the client at the centre of the model, assigning the focus on the client’s needs and wants, this creates the understanding that the client is the person who knows their life best and understands their occupational performance concerns, therefore denoting the role of the occupational therapist is not to carry out treatment or intervention on a client but with a client (Ikiugu, 2007) The CMOP-E places spirituality at the centre of the person, this is because it is believed that a person’s spirituality is where their motivation and self-concept flow from, through occupations spirituality can be found and expressed.